| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
807 |
802 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
575 |
546 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
184 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
428 |
426 |
$3K |
| 90686 |
|
302 |
301 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$710.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$584.88 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$418.32 |
| 90670 |
|
115 |
114 |
$0.00 |
| 90723 |
|
33 |
32 |
$0.00 |
| 90474 |
|
32 |
31 |
$0.00 |
| 90647 |
|
29 |
28 |
$0.00 |
| 90680 |
|
44 |
43 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |